Active NPI
Pharmacy Express Services Inc
- Community/Retail Pharmacy
- Council Bluffs, IA
National Provider Identifier
1790799054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1097
- Legal business name
- PHARMACY EXPRESS SERVICES INC
- Practice address
- 1817 W Broadway
Council Bluffs, IA 51501-3823 - Phone
- (712) 322-5885
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce S Goldberg
- Title
- President
- Phone
- (712) 322-5885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 1097 | IA | Primary |
Addresses
Primary practice location
1817 W Broadway
Council Bluffs, IA 51501-3823
Mailing address
PO Box 241148
Omaha, NE 68124-5148
Phone (712) 322-5885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0193086 | Medicaid | IA | |
| 1620079 | Other | NCPDP |
Other names 1
- No Frills Pharmacy Express #3
National Provider Directory
National Provider DirectoryLocations
1817 W Broadway
Council Bluffs, IA 51501
Phone (712) 322-5885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1790799054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241148",
"city": "OMAHA",
"state": "NE",
"postal_code": "681245148",
"telephone_number": "712-322-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515013823",
"telephone_number": "712-322-5885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY EXPRESS SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-322-5885"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IA",
"license": "1097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0193086",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1620079",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "No Frills Pharmacy Express #3",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.